Hashmi, Samra

Hashmi, Samra is an individual health care provider with primary practice located at 963 N. 129Th Infantry Dr Suite 110, Joliet IL 60435-3103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Hashmi, Samra can be contacted via phone (815) 729-3777.

Contact Information

Primary practice address
963 N. 129Th Infantry Dr Suite 110 Joliet IL 60435-3103
Phone: (815) 729-3777
Fax: (815) 725-9358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036110835 Illinois

Profile Details

NPI number 1790732147
LBN Legal business name Hashmi, Samra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 18th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790732147 NPPES
Illinois Other 0009919581 BLUE SHIELD
Illinois MEDICAID 036110835 BLUE SHIELD
Illinois Other CG9902 BLUE SHIELD
Illinois Other P00341658 BLUE SHIELD

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